CHCI's Education Policy Summit Registration Form

To confirm your attendance at Education Policy Forum, please complete the following registration form. If you are interested in sponsoring or participating in the Ready to Lead event in Miami on May 19, please contact Marie Hughes at 202-548-5873.

Full Name*

Title*

Company/Organization*

Email Address*

Phone Number

Comments

By registering for this event, I agree to be photographed or videotaped for possible use in CHCI publications and other printed or online marketing materials. Enter "YES" (case-sensitive) to agree. *

Pursuant to the Americans with Disabilities Act, please let us know if you require any specific aids or services at this event.